Disability Case Manager

Summary

Join Instant Teams as a Short-Term Disability Case Manager! This remote position involves making timely and accurate disability claim decisions, gathering relevant information from various sources, and ensuring compliance with regulations. You will maintain excellent customer service, collaborate with internal partners, and meet operational metrics. The role requires strong communication, medical terminology understanding, and proficiency in claims administration. A high school diploma is required, with a bachelor's degree preferred, along with 1-2 years of relevant experience. Benefits include an hourly pay rate of $25 and equipment provision.

Requirements

• High School Diploma
• Verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire
• Familiarity with disability claim management concepts
• Good understanding of medical terminology/pathology/anatomy
• Articulate verbal and writing skills
• Decision-making skills
• Ability to meet deadlines
• Ability to work with confidential information
• Moderate skills with Microsoft Office and other software applications
• Customer service skills
• Stress tolerance
• Math skills
• Ability to multi-task and prioritize
• High level of attention to detail
• Ability to work under pressure
• Confidence to make claim decisions
• Results-driven approach
• High attention to departmental/company procedures/practices

Responsibilities

• Make timely, accurate, and customer-focused STD and AM new and ongoing claim decisions
• Reach out to obtain relevant clinical, vocational, employer, financial, and other information
• Compare the information to the terms, limitations, and conditions of the contract/administrative services agreement and applicable procedural documents and render the claim decision as quickly as possible
• Document the claims system accurately and comprehensively
• Prepare, update, and utilize a claims management plan to attain the most appropriate outcome
• Remain in full compliance with regulatory requirements
• Demonstrate an above-average level of proficiency in product and claims administration techniques
• Remain fully compliant with operational standards
• Meet or exceed claims team operational metrics
• Maintain a superior level of genuine caring and empathetic customer service throughout all interactions
• Take appropriate actions to earn the claimant's and employer's trust and confidence
• Anticipate customer’s needs and take action as appropriate
• Work with internal partners to support flexibility, collaboration, creating a positive work environment, consistently maintaining professionalism and integrity, actively taking steps to foster high morale, and demonstrating a dedication to excellence
• Perform other related duties as required

Preferred Qualifications

• Bachelor's Degree
• 1-2 years of job-related claims experience
• Demonstrated proficiency in product-specific areas of STD, LTD or AM as well as federal and state regulations governing these products and services

Benefits

• Pay Rate: $25 per Hour
• Equipment is provided
• 2024 Employee Benefits